Zhang Keke, Qin Zhen, Chen Jinyan, Guo Gengyin, Jiang Xiaokun, Wang Feng, Zhuang Jianfeng, Zhang Zhen
Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China.
Department of Otolaryngology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong 250021, China.
Aging (Albany NY). 2024 Jan 4;16(2):1096-1110. doi: 10.18632/aging.205379.
Neuroinflammation plays a key role in early brain injury (EBI) of subarachnoid hemorrhage (SAH), and NLRP3 inflammasome plays an important role in the development of neuroinflammation after SAH, but the mechanism of NLRP3 inflammasome activation after SAH is still unclear. TRPV1 is a non-selective calcium channel that is involved in the pathology of neuroinflammation, but its role in SAH has not been revealed. Our study showed that TRPV1 was significantly upregulated after SAH and was predominantly expressed in microglia/macrophages. Antagonism of TRPV1 was effective in ameliorating neurological impairment, brain edema, neuronal damage, and reducing the inflammatory response (evidenced by reducing the number of CD16/32 positive microglia/macrophages, inhibiting the expression of CD16, CD32, CD86, IL-1b, TNF-a and blocking NLRP3 inflammasome activation). However, this effect can be abolished by NLRP3 inflammasome antagonist MCC950. experiment confirmed that TRPV1 activated NLRP3 inflammasome by increasing intracellular calcium levels. In conclusion, TRPV1 mediates EBI after SAH via calcium/NLRP3, and TRPV1 is a potential therapeutic target after SAH.
神经炎症在蛛网膜下腔出血(SAH)后的早期脑损伤(EBI)中起关键作用,NLRP3炎性小体在SAH后的神经炎症发展中起重要作用,但SAH后NLRP3炎性小体激活的机制仍不清楚。TRPV1是一种非选择性钙通道,参与神经炎症的病理过程,但其在SAH中的作用尚未明确。我们的研究表明,SAH后TRPV1显著上调,且主要在小胶质细胞/巨噬细胞中表达。拮抗TRPV1可有效改善神经功能缺损、脑水肿、神经元损伤,并减轻炎症反应(表现为减少CD16/32阳性小胶质细胞/巨噬细胞数量、抑制CD16、CD32、CD86、IL-1β、TNF-α的表达及阻断NLRP3炎性小体激活)。然而,这种作用可被NLRP3炎性小体拮抗剂MCC950消除。实验证实,TRPV1通过增加细胞内钙水平激活NLRP3炎性小体。总之,TRPV1通过钙/NLRP3介导SAH后的EBI,TRPV1是SAH后一个潜在的治疗靶点。